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Conservative and Unionist Party

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  1. ParliamentGareth Davies

    Industrial Strategy

    I am afraid that is not good enough. The industry is facing deep uncertainty around the kite flying going on across the road at the Treasury. I realise that he is not responsible for that, but he needs a better answer for the construction industry. The Construction Products Association has just cut its growth forecast for the sector to barely 1% next year, warning that the uncertainty over new taxes is choking investment. I will ask the Minister again: how on earth will adding £28,000 to the cost of a new home, or 25% to road construction costs, through a new builders tax do anything other than cement the slowdown that Labour is overseeing in our economy?

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  2. ParliamentGareth Bacon

    Topical Questions

    T7. Earlier, the Secretary of State said that he was committed to growing our car industry, but British car manufacturers face huge fines for selling cars that consumers actually want, while the Government use taxpayers’ money to subsidise the purchase of foreign cars with Chinese batteries in them. What are the Government’s plans to end the nonsensical zero emission vehicles mandate, and to restore a normal market, from which our car industry would benefit?

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  3. ParliamentEdward Argar

    GP Services: Melton and Syston

    Thank you for calling me, Madam Deputy Speaker, and through you I thank Mr Speaker for granting this important Adjournment debate. I congratulate the Under-Secretary of State for Health and Social Care, the hon. Member for Glasgow South West (Dr Ahmed), on his well-deserved promotion to ministerial office—it was in very short order, but it is very well deserved. I thank him for being present to respond to this debate tonight, because he has, as I have just indicated, a rather longer journey home to his constituency than I do back to Leicestershire. At the outset of this debate, I should put on the record that I am, of course, registered as a patient at one of the NHS GP practices in my constituency, which I may refer to in the course of this debate. As every Member of this House will recognise, general practice is in many ways the gateway to the NHS for our constituents. It has the potential to do a huge amount more. Sadly, on some occasions the gateway to NHS services for our constituents is simply to go to A&E, rather than seeking to go to their general practitioner, or indeed rather than using—to the extent that it has the potential to be used—pharmacy as a first port of call, as people can see a pharmacist for some advice in the first instance. For the vast majority of people, though, it is the GP practice that is the route into the NHS and where people go when they are concerned about their health. I am sure that all Members of the House would recognise the challenges and pressures faced by general practice irrespective of Government in recent years. There are a number of factors behind that. We should not forget the impact of the pandemic, with the changing patterns of attendance that followed it and the increased demand that came immediately after it. We are also seeing the consequences of an ageing population in our country, with people living longer with more chronic conditions. We also see the increased pressure in many of our communities, irrespective of where they are in the country, that arises from increases in housing development that are not met with increases in the provision of key local infrastructure. This has been especially true in recent years in my constituency, where we have seen huge increased local development without that infrastructure. There is also the prospect of significantly more development. I am going to talk primarily today about the particular issues in Melton Mowbray and the surrounding villages, as I have indicated to the Minister, as I am keen that he is able to give a pragmatic and helpful response for my constituents. I will also touch on some broader themes and on the provision of general practice in the village of Sileby in my constituency, which also faces pressure and challenges.

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  4. ParliamentEdward Argar

    GP Services: Melton and Syston

    The hon. Gentleman is right. Although I spent two and a half years as a Minister in the Department of Health and Social Care, I was never the Minister for Primary Care, but I am very much aware, as I suspect Members across the House are, that that is an additional pressure on time for general practitioners. We in government sought to do what we could to reduce that, and to be fair to the new Government, I know the Secretary of State is actively looking at what can be done to further streamline administrative processes to allow general practitioners and their teams to spend more time with patients. Although my focus is on GP services in Melton Mowbray and Sileby, it is true that all GP surgeries in my area—whether that is the County practice and Jubilee medical practice in Syston, or practices in Thurmaston, Bottesford, Long Clawson and other nearby villages—continue to face huge pressures. It is important to say that these practices really do their best. Their staff—not just the GPs, but the whole teams—work incredibly hard, and I know they care deeply about the service they provide to their patients. In Melton Mowbray especially, they see acute pressure, particularly on appointments: we have just one GP practice for a growing town. Latham House medical practice has over 36,000 patients on its books, making it one of the largest in the country. Timely access to GP appointments is one of the largest regular issues to appear in my constituency inbox, with waits—according to the correspondence I receive—of at least six weeks, and it can be eight or 10 weeks before an appointment is available. Clearly, that is not right. It is important to say, to be fair to Latham House medical practice, that when my constituents get to see either a nurse, an allied health professional or a GP, they regularly cite in their emails the quality of the care and the kindness shown by the staff. Indeed, we recently saw a Cavell star award given to Debra Gilbert, one of the nurses at the practice, so the team there work hard and are passionate about what they do. In 2024, they saw an average of 6,900 appointments per 1,000 of the population on their list. That is higher than the national average, but I would urge a little caution because that is a crude statistic that does not necessarily comparatively reflect the different demographics of different areas, such as whether an older population or deprivation in an area lead to a higher need. It is important to put on the record that they are doing what they can to try to improve access, but clearly, an increase in provision is needed locally. Back in 2021, the then clinical commissioning group agreed that it recognised the need for increased provision of GP services in Melton Mowbray. In 2023, the integrated care board continued with that and agreed to explore a second GP practice, recognising the need for it. I believe that was a sensible decision by the ICB, but regrettably, just a few weeks ago in early October, it announced that it was pausing its work to develop such a plan until 2027. I have been around the Department of Health and Social Care and worked with the NHS long enough to know what a pause, sadly, all too often means. In Melton Mowbray, we have seen a pause of six months at the St Mary’s birth centre—a midwifery-led unit—to allow for staffing shortages to be addressed. Four months into that pause, we have yet to see any suggestion of how it might be brought to an end. When I hear the word “pause”, I fear that will run on into something more permanent. This issue, which is hugely important to my constituents, has been covered extensively and powerfully in the local media—in particular by the excellent local paper, the Melton Times. It is important to say that I am conscious that neither I, as a Member of Parliament, nor Melton borough council—which is equally keen for increased provision and with which I have spoken—or indeed the Minister himself have the power to simply overrule a decision taken by an integrated care board in a local matter such as this. I took through the 2022 Act, so I have a vague recollection of how that works. That remains a deeply disappointing decision, and, I believe, the wrong one. The value of access to general practice, and the impact that a lack of access has, is writ large. Earlier today, I had one of my regular catch-ups with Councillor Ronan Browne, the leader of the opposition on Melton borough council, who did a lot to get us to the point where we were hopeful of seeing a second GP practice. He set out his deep disappointment about this decision. There is a clear remaining need. The ICB, in its announcement on reaching its decision, stated that the section 106 payments on which it was aiming to base the provision of capital for the new building were now insufficient. It also stated that slow growth in new registrations, and slower population growth than had been anticipated, were relevant to its decision making. However, that does not help my constituents. I am conscious of the challenges of funding buildings. As the Minister and I have discussed, in a sense—ironic though it may sound—finding money for a building is sometimes easier than the second part of the equation, which is securing the staff, and managing the oncosts to fund that. I should say that I am grateful to the ICB for its engagement and to Toby Sanders, its chief executive, for his open engagement with me. As I say, he has emphasised that he believes that section 106 payments are not enough, and the ICB has said that it has no funds to backfill that or pay for anything from its own funds. It is important to remember that, as the Minister will be aware, general practitioners and general practices are, in many ways, private businesses contracted to provide services to the NHS, but they are not direct employees of the NHS, so they cannot be directly instructed by the Minister, by ICBs or by NHS England—it is important to put that context on the record. In respect of the argument by the ICB that there were insufficient increases in new registrations and new patients to justify a second GP practice at this time—noting the pause—I am afraid that that fails to reflect the importance of choice for patients in switching to a different service in their locality if they so wish, and, in so doing, potentially easing pressure on the existing practice’s list. Pausing without a clear alternative long-term plan is simply not good enough. Latham House surgery has recently announced that it has taken steps to help to address this in the short term. On 15 October, it announced that it was recruiting an extra five GPs and additional nursing staff, that its Asfordby satellite surgery would be opening full-time in the future, and that it was looking to create new provision in a small premises on Sherrard Street in the town. Those are welcome steps for which I am grateful, and I look forward to hearing more about those proposals from the practice, but they do not alter my view on the long-term needs of Melton Mowbray and the surrounding villages. The ICB needs to act and be supported in doing so by the Department of Health and Social Care. It is true to say as well that ICBs face real challenges, including the Government requiring them to force cuts in staff and to restructure, but without seemingly providing them with additional ringfenced funding for the costs of that restructuring, be they redundancies or otherwise. That means that regardless of whether the end is a good one—that is, a leaner ICB—ICBs will potentially have to cut from the frontline in the short to medium term to fund that restructuring. As I have alluded to, there are also the challenges of oncosts and funding GPs to staff a surgery. GPs have a choice as to where they choose to work, and I suspect the old Carr-Hill formula, which the Minister and I have spoken about in the past, does not aid that. It is a challenge that Governments of all complexions have faced and I hope that he, if he is willing, will take on the challenge of looking at the Carr-Hill formula. He will have my constructive support in doing so. Latham House practice has cited the challenges in securing and retaining staff so I recognise that, but again, those are challenges for the Government and the ICB to assist and support with and not ones that should be borne, as a consequence, by my constituents. I will briefly mention Sileby, another village in my constituency. It has two good GP practices, but it is a rapidly growing village, and larger premises are needed. Again, the ICB has indicated that it will not have funds to fund or support that and once again, section 106 moneys are likely to be insufficient. It is a real challenge faced by GP practices up and down the country as to how they take that step, often having to accept more patients as houses are built. Even when there is a section 106 payment, it is only triggered later in the process once they have already had to absorb an increase in patients. I hope that the Minister might look at that. Although I recognise and welcome Latham House’s actions and hard work and I hope that delivers results, I fear it simply is not enough to tackle the long-term needs. The Secretary of State’s new neighbourhood health centre programme may well help us in the longer term. For example, one of those could be allocated to Melton Mowbray, which already has Melton Mowbray hospital—in my view an underused and therefore perfect site, and the Minister can take that as a potential early bid for such a centre. That may help in the long term, but we still need action now for my constituents to improve access and to build for the long term. I am sure the Minister will know that Melton Mowbray and the surrounding villages and towns are fantastic places with a real sense of community, a proud history, a great present and huge future potential, just like the other parts of my constituency. Melton Mowbray’s residents are good, decent people who need, and frankly deserve, improved access to GP appointments and an increased focus on tackling this for their communities. Will the Minister set out what steps the Government are taking in partnership with ICBs to help address increased need for access to GP appointments, both nationally and locally? Is he willing to take on the challenge of looking at the Carr-Hill formula and how GPs are funded per patient for their activity? Will he reassure ICBs that all restructuring costs, over and above their current budgets, will be centrally funded to avoid them cutting frontline services? Will he work for better links between section 106 moneys and the needs of healthcare provision locally? Will he meet me, ideally in Melton Mowbray—he is very welcome—to discuss what can be done locally to improve GP provision? I genuinely hope that he shares my view that Melton Mowbray and the nearby villages not only need further enhancement to existing services, which Latham House is trying to put in place, but genuinely need that second GP practice to meet their future needs. I will continue to campaign on behalf of my constituents for that, but I will also, as I hope he has seen in the brief time we have known each other, be willing to work with the NHS and with any political party that helps facilitate that locally and nationally. Finally, will he agree to work with me and my constituents to deliver the improved premises and services needed to meet the current and future primary care needs of my fantastic constituents in Melton Mowbray and the surrounding villages?

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  5. ParliamentEdward Argar

    GP Services: Melton and Syston

    I am grateful to the Minister for that. The only point I would make is that when, at the age of 47, one is described as an elder statesman, one can see retirement looming. I want to reassure him that I have no intention of retiring or stepping back from my duties in this House.

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  6. ParliamentDr Luke Evans

    Business of the House

    Might we have a debate in Government time on mid-contract mobile phone bill increases, which is a concern I have been raising for a long time? I was pleased to welcome Ofcom’s changes at the start of the year, but it seems that companies such as O2 are finding new ways around them and increasing bills by 40%. That is shocking when done mid-contract, as customers are not aware of the increases. People can cancel their contracts but are not aware of the problem. A debate would allow us to make the public aware that this is going on and look for solutions.

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  7. ParliamentDr Luke Evans

    Ageing and End-of-life Care

    I yet again thank the hon. Member for Strangford (Jim Shannon). He should be proud of Mona Shannon, and she will be proud of him not just for raising this topic today, but for all the work he does across this House talking about health, because he is assiduous and dedicated to timely health interventions, and that should be applauded across the House and this nation. I am indebted to him for securing this debate. In the hon. Member’s speech, he mentioned who he had spoken to. I, too, have met the organisations Sue Ryder and Marie Curie, including at party conference, and I have met many other organisations, including LOROS and Rainbows, that cover my area. When I saw the title “Ageing Community” for this debate, I must admit that I thought the hon. Member should have applied for a five-day debate, considering what we could cover. I also notice the expertise in this debate. We have a secondary care surgeon, someone with public health experience at the back and me as a GP. It is turning into a multidisciplinary team, and there is a lot to unpack, whether it is prevention, mitigation, healthy lifestyles or looking at the best examples across the world. I recently travelled to Japan and Korea and saw how they look after their elderly and their approach to the lifestyle of the elderly. There is a lot to be learned out there, as across the world we all grapple with an ageing population. There are other topics that we could talk about, and some were touched on. On social care, it is a shame that there has been a change from cross-party talks to an independent commission. I note that Baroness Casey is being taken back to the Home Office, which means she is spread thinly. There is a wider debate to be had on social care, which is: what do the British public actually want? Often we look at the Scandinavian model, but say that we do not want to pay the taxes for it. We want the household or family approach, like the Bangladeshi or Pakistani model, but we certainly do not actually want grandma or grandpa coming to stay with us and we want to stay working. Therein lies the problem in British culture. We are not 100% sure what we want when we cross over from the NHS into social care, and we are not sure how to provide it. Some hard evidence of policies on an ageing community has been talked about, and unfortunately I have to raise the issue of winter fuel. In the Government’s analysis when they took away winter fuel payments—despite all the warnings—they knew that it would put 50,000 people into absolute poverty and 100,000 people into relative poverty. We can contrast that with the Opposition and our recent announcement on stamp duty. Jackson-Stops estimates that in the first year alone, up to 500,000 people above the age of 55 would consider downsizing because of that policy. I do not call that downsizing, as we heard in the debate on stamp duty—it is right-sizing, because it gives a real chance not only for more families to go upwards, but for people to move into more appropriate accommodation as they age. There is a lot to be said in the debate about an ageing population, as the hon. Member for Shipley (Anna Dixon) pointed out, but I will focus my comments on the three questions that I think I caught from the hon. Member for Strangford: the assessment of the need for a national strategy for palliative care; what the Government are doing to ensure that palliative care is included in neighbourhood health centres; and the progress being made on 24-hour support. I will start with the national strategy and funding, and let us give credit to the Government where it is due. When it comes to children’s hospice funding, they have continued the payment and extended it, which is welcome, although it does not offer enough mitigation for national insurance contributions. The Government will say that when it comes to adult funding, they have given £100 million. That is capital funding, though, and as one hospice worker put it to me, there is no point in having new curtains and a lick of paint if there are no staff. As the Liberal Democrats pointed out, the National Audit Office report on the hospice sector that came out only yesterday states: “DHSC and NHS England do not know what proportion of the total amount of palliative and end-of-life care provided in England is delivered by the independent adult hospice sector, and therefore how reliant they are on the sector”, or what the real impact of Government funding is. It continues: “In 2024-25, 11 independent adult hospices in England reported service reductions or staff redundancies, and other hospices announced plans to reduce services, in response to reduced income or increased costs. Cuts appear to be across all types of services offered by hospices. Most hospices reported the increase in the costs of service delivery within the palliative and end-of-life care sector as being the primary reason for service reductions…Six hospices have been designated by ICBs as ‘commissioner requested services’, a mechanism to forewarn ICBs of potential difficulties with services that, should they discontinue, would have significant impact on the local population”. Hospice UK responded to that, saying: “unfortunately the whole hospice sector is…struggling, just as demand for their services is rising. Surging costs mean 2 in 5 English hospices are planning cuts this year, and 20% ended last year with a deficit of over £1m.” What does that actually look like in real life? In my area, LOROS is facing a deficit of £2 million. It has already had to reduce its in-patient capacity from 31 to 20 beds, and it is reducing its day therapy and cutting its physiotherapy, occupational therapy, social work, chaplaincy and complementary therapies, and closing the volunteer home-visiting service. It is not just my region that is affected: a cursory look at Hansard will show that the Kirkwood hospice in Kirklees has made 19 redundancies; the Ashgate hospice in Derbyshire has 52 jobs at risk, with beds cut from 21 to 15; St Catherine’s hospice in West Sussex is looking at 40 job cuts, with half of its new rooms being mothballed; Weston Hospicecare—highlighted both here today by the hon. Member for Weston-super-Mare (Dan Aldridge), and by others, including my hon. Friend the Member for Bridgwater (Sir Ashley Fox) at other times—faces an increased national insurance bill of £139,000; the Arthur Rank hospice in Cambridgeshire is losing £829,000, which is forcing the closure of nine beds, 40% of its capacity; and Marie Curie has pointed out that its national insurance contribution costs have risen by £2.9 million. Through all this, we have still never heard whether the Health team knew that this was going to happen and chose to push it through, or whether it was simply an oversight when it came to challenging the Treasury. Ever since the Budget, we have never heard an answer to that. At the time of the Budget, the CEO of Marie Curie, Matthew Reed, said: “The Health Secretary himself has acknowledged that palliative and end of life care is not good enough, so we are shocked by the lack of measures in the budget to fix it. Palliative care needs are projected to rise by 25% over the next 25 years, around 147,000 more people each year, yet this government lacks a strategy to tackle the magnitude of this challenge.” Have the Government made an assessment of how much the NICs increase has impacted the hospice sector? As has been mentioned, Together for Short Lives estimates that the average hospice is facing a bill of about £133,000. I raised a lot of these questions in a debate in January, and the Minister for Care kindly wrote to me in response. It is not just about the financial side; we are looking at the structural aspect too. He wrote: “As you are aware, integrated care boards…are responsible for the commissioning of palliative and end-of-life care services to meet the needs of their local populations. To support ICBs in this duty, NHS England has published statutory guidance and service specifications. In addition, the National Institute for Health and Care Excellence…has published quality standards and guidelines to support commissioners to carry out this duty. While the NICE guidelines are not legally binding, they act as a regulatory benchmark for best practice in palliative and end-of-life care…Whilst the majority of palliative and end-of-life care is provided by NHS staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at the end of life and their loved ones.” So there is a grey area about where hospices are covered, and that fits in with the NAO report.

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  8. ParliamentDr Luke Evans

    Ageing and End-of-life Care

    The hon. Lady is spot on; that is exactly the point that I was getting at. While there is a legal duty in terms of palliation, what that palliation looks like is important. Her question was also raised by the hon. Member for Strangford, who asked whether it is now time to have a strategy dedicated to palliative care, given the rise in demand. The letter goes on to say: “Charitable hospices are autonomous organisations that provide a range of services that go beyond that which statutory services are legally required to provide. Consequently, the funding arrangements reflect this.” We are in a grey area, and a palliative care strategy could well be a way to unlock this problem. I will be interested to hear what the Government have to say on this issue. However, it is not just about finances and commissioning; it is also about the workforce. That is partly addressed in the letter: “As set out above, we have committed to develop a ten-year plan to deliver an NHS fit for the future. This summer, we will publish a refreshed NHS long-term workforce plan to deliver the transformed health service we will build over the next decade so that patients can be treated on time again.” By my calculations, we are coming up to Halloween and even bonfire night, and we still have not seen a workforce plan. My question to the Government is: when are we likely to see that? That leads me on to my next point: how do the Government intend to ensure that palliative care specialists are included in neighbourhood health centres? The 10-year plan is laudable, and I think there is agreement across the political spectrum on its contents, but the one thing it is missing is a delivery chapter. How are we going to do it? The shift is correct, but we do not know how we are going to get there, so I would be grateful if the Minister could address that. The 10-year plan explicitly talks about public-private partnerships, and there is concern on both sides of the House that we could see PFI mark 2. If Members need to have their memory jogged, private finance initiatives brought in £13 billion to build hospitals and services, but at a cost of £80 billion to taxpayers. Why does this all matter? In my last few moments, I will turn to the final question that was posed by the hon. Member for Strangford, which was about access to 24-hour support. I will quickly read out a couple of comments from one of my constituents, whose husband Mat sadly passed away from a brain tumour. She highlights this issue: “During the day, the support was outstanding because I could call the community nurses and the palliative nurses, and they would always call me straight back. They would visit Mat daily to administer the medications needed in his syringe drivers. They were kind, caring and so supportive to us and our family. The night times were different and frightening. Often during the night when I was trying to get support, he could see how scared and stressed I was, which made him more scared, often telling me he was okay just to try and not make me worry. Every night I used to be thinking what might happen tonight—will Mat have another seizure? Will he be in so much pain again? Will they call me back if I need support? How long will it take to get help to arrive?” Marie Curie points out that only seven of the 42 ICBs in England have a single point of access. I raised this issue with the Minister in a letter in August, and he kindly responded in September. He pointed out that integrated care boards must commission on this basis. There is NICE guidance on “End of life care for adults”, under quality standard 13, and on “End of life care for adults: service delivery”, under NICE guideline 142, which talks about the fact that there should be some form of 24-hour care, but at no point did the letter address the issue of the phoneline. When I asked the Department about data, I was told in a letter: “Regarding data about palliative care helplines, such as average waiting/response times, the Department does not collect or hold this information.” Will the Minister look at that and consider whether the Department should hold such information? The letter went on to say: “We recognise that more could be done to support the palliative and end-of-life care sector. I have tasked officials within the Department and at NHS England to look at how improving the access, quality and sustainability of all-age palliative and end-of-life care to ensure that their proposals are in line with the ten-year plan.” I would be grateful if the Minister could ask the Minister responsible whether there is indeed an update and what that looks like. At the end of the day, we are concerned not necessarily about inputs, but much more about outputs. We know that death is certain for us all; only our willingness to face it seems optional. This is very much a British mentality, and I believe we need to change that when it comes to talking about death and our mortality. We need to speak more openly and candidly about what an ageing population looks like, for that is what we are. That is why the hon. Member for Strangford brought forward this debate, and he reminds us that we chase the days ahead while never quite noticing how swiftly they turn into years behind us. That leads me to reflect on the fact that, as politicians and as a society, we build a world to live longer, yet we all too easily forget to ask: how do we want to grow old?

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  9. ParliamentDr Luke Evans

    Ageing and End-of-life Care

    Given the recent National Audit Office report and the fact that the tax increase to national insurance contributions has had the biggest impact on the voluntary sector, has an impact assessment been carried out into how much the cost has gone up for hospices in England to provide their services? If not, will the Minister consider it?

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  10. ParliamentDr Luke Evans

  11. ParliamentDr Caroline Johnson

    Moles: Histological Testing

    It is a pleasure to serve under your chairmanship, Ms Jardine. I congratulate the hon. Members for Isle of Wight West (Mr Quigley) and for South Norfolk (Ben Goldsborough) on securing this debate and on their very emotional speeches. I thank the hon. Member for South Norfolk for his bravery in talking about his own care. I commend Zoe’s family for their bravery and for their work to turn a family tragedy into something positive for other people, which is fantastic. Melanoma is the deadliest form of skin cancer and, frighteningly, the fifth most common cancer in the United Kingdom: almost 20,000 people are diagnosed each year. It usually starts in skin or a mole that is over-exposed to ultraviolet radiation, and then it spreads to vital organs such as the lungs or the liver. One of the challenges is that melanomas can be difficult to identify. I am a paediatrician, not a dermatologist, but I remember looking at pictures of melanomas and moles in medical school, and in lots of cases I struggled to see the difference that the lecturer was pointing out. They can be brown, red or pink; small or large; flat or raised. Unlike other cancers, which tend to progress as they grow larger, melanomas can be lethal even when they are very small, which means that there is no time to lose in having the diagnosis. All suspicious moles removed by the NHS should be tested, but those judged benign or removed in cosmetic or beauty settings are not necessarily tested, as has been said. There is therefore the risk that, if that judgment was wrong, the cancer can go undetected and it can have tragic consequences. I want to ask the Minister what steps she is taking to strengthen the regulations in the aesthetics and beauty sector, in particular, and in the private medical sector. What will be done about lasering moles in a way that prevents identification of a melanocytic lesion? We know that AI can help. There are now computer systems that look at moles in photographs and are reasonably reliable at discerning whether something is malignant. That can be done in conjunction with doctors and histology as an additional layer to ensure there are no mistakes. Will the Minister update the House on what she is doing with AI? One of the big shifts that the Government have talked about is digital, and that is one of the options available to them. The Government have said that improving diagnosis is a key part of their national cancer plan. Will the Minister give us some highlights from the plan? We were expecting it to be published this year, but it is apparently now delayed until next year. There are rumours that that is to have a presentational effect on 4 February. Given that more than 1,000 people are diagnosed every day across the UK, I really hope that there are not presentational reasons for the delay. It would be helpful to know when she intends to publish the plan. What assessment has the Minister made of the impact that the plan will have on the progress of speeding up cancer diagnosis for patients? How does she plan to expand access to genomic testing, which can also help to identify the most at-risk patients? The Government have talked a lot about the shift to prevention, which is always better than cure. In about nine out of 10 cases, melanoma can be prevented. Avoiding over-exposure to the intensity of the sun, applying sunscreen and wearing suitable clothing can help to defend our bodies from the risk of developing melanoma. What assessment has the Minister made of the impact of the VAT charged on sun cream to the incidence of skin cancer? Sun cream can be quite expensive and young people may find that a barrier to applying it. With the Budget coming up just next month, the Minister is in a prime position to make that case. It takes only one blistering sunburn to more than double someone’s chances of developing melanoma later in life. What steps is the Minister taking to ensure that young people are aware of the risks of sunburn? What discussions has she had with the Department for Education about making sure that young people are aware of the risk? Figures show that 65% of 18 to 32-year-olds report annual sunburn. Alarmingly, in May 2024, researchers predicted a record high of 20,800 skin cancer cases for the year. I worry that sunburn is increasingly regarded as one of those things—a sort of hallmark of a foreign holiday. What steps is the Minister taking to raise awareness of the link between sunburn and skin cancer? It is not always sunny in the UK. That is why over one in four people, and 43% of 18 to 25-year-olds, use sunbeds to top up their tan. However, that comes with significant health risks. Researchers estimate that sunbeds cause 440 cases of melanoma and around 100 deaths every year in the UK alone. I was surprised to discover that only 62% of people know that sunbed use increases the risk of skin cancer. Worryingly, researchers found that 23% of 18 to 25-year-olds thought that using sunbeds instead of the sun would reduce their risk of skin cancer. What steps is the Minister taking to bust those myths? Will she consider using her women’s health strategy to raise awareness of these issues, which put mostly young women at risk? Banning under-18s from using tanning beds was undoubtedly sensible, but insufficient enforcement mechanisms have been set up. Unfortunately, a 2025 survey by Melanoma Focus of 100 16 and 17-year-olds in the UK found that 34% were still using sunbeds despite the ban. Exposure to indoor tanning before 35 is associated with a 59% increase in the risk of developing skin cancer. Does the Minister have any plans to strengthen the enforcement of regulations that restrict the use of sunbeds by young people? Frustratingly, not only do the regulations not stop vulnerable people using sunbeds, but they fail to restrict irradiation levels. A report suggested that over half of Tyneside sunbed salons exceeded the irradiation limits, putting users at even greater risk of cancer and melanoma. What steps will the Minister take to put safety first and ensure that sunbed irradiation levels are enforced? The key measures against a cancer as deadly as melanoma, and our best defences against fatalities, are prevention, early testing, catching it early and good treatment. Given that such a high proportion of cases are preventable, I am interested to hear more about the Minister’s plans for further prevention and to know how the cancer plan will help. What are her thoughts on the plan for Zoe’s law to ensure that a histology test is always done so that no one slips through the net?

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  12. ParliamentDavid Reed

    Property Service Charges

    Thank you very much, Madam Deputy Speaker. It is nice to have his name on the record. I am very grateful for the opportunity to speak in this debate, and I thank my hon. Friend the Member for Reigate (Rebecca Paul) for bringing the topic to the House’s attention. In my constituency, this is rapidly becoming one of the most frequently raised issues. The biggest problem is that people who have worked hard, saved responsibly and bought a home in good faith find themselves trapped in a system that is opaque, unaccountable, and, in the worst cases, exploitative. Like other Members, since being elected I have been inundated with complaints about one company in particular. We all know its name: FirstPort. It is, by some distance, the most problematic housing management company operating in my constituency. My office is dealing with almost 40 open cases relating to developments that it manages. The stories are depressingly consistent: residents describe unexplained charges, unclear billing and long delays in resolving the simplest issues—we have heard many such examples today. They send long chains of unanswered emails. They attend my surgeries exhausted and frustrated. When my team contacts FirstPort on residents’ behalf, we often wait an unacceptable length of time for a reply, and progress—if it comes at all—is slow. Earlier this year, I and other Members of this House met FirstPort’s managing director. I hope, Madam Deputy Speaker, that you see me as a chilled-out kind of guy, but I left that meeting with my blood boiling, and other Members had a similar experience. We asked straight- forward questions but received vague answers, rehearsed corporate language and no clear commitment to improving customer service. A group of MPs will meet FirstPort again soon, and I hope that the company has set to work in earnest. On reflection, what angered me most was that many of the people caught up in these issues are elderly. They feel intimidated by the complexity of the system. They are passed from pillar to post, ignored when they raise legitimate concerns, and made to feel like an inconvenience simply for asking what their money is being spent on. However, when FirstPort wants payment—this is something that it is very good at—its communication becomes clear and very persistent. When residents in several developments tried to move away from FirstPort, essential financial documents, including sinking fund balances and reconciliation statements, were withheld. In some cases, large sums of residents’ money were retained for months, preventing new management companies from planning maintenance or accounting properly. In my constituency, local resident directors Karen Wheeler and David Buller—fierce campaigners—have documented delayed fund transfers, missing paperwork and opaque accounting. Karen eventually gave up trying to reconcile the final balance because the spreadsheets were, in her words, “unfathomable”. For Karen’s development, the cost was about £500—quite a significant sum for many elderly residents—but, as my hon. Friend the Member for Reigate rightly said, the real issue here is the power imbalance. Residents have no transparency, no clarity and no meaningful route to resolution, despite FirstPort’s own code of conduct, which promises transparency, value for money and excellent customer service. I think we can all agree that that does not stack up. This is neither an isolated concern nor a partisan one. Former Ministers have highlighted FirstPort and other companies being consistently associated with high charges and poor service. The BBC has reported homeowners being billed for things such as “terrorism insurance”, without any context, while basic grounds maintenance is not completed. More than 30 MPs have written jointly to FirstPort demanding action. We all know that the problem is structural. Far too many homeowners are locked into contracts they never chose, are forced to pay service charges for poorly maintained communal areas, and have no ability to change providers when the services fail. As we have heard, many homeowners on private estates—the so-called “fleecehold” estates—are effectively paying twice: once through council tax, and once through service charges. Leaseholders trying to sell their homes frequently face long delays and eye-watering administration fees, and what should be a proud milestone—owning or selling a home—becomes a source of stress and financial burden. We have heard that legal protections exist, but they are not enough. The Leasehold and Freehold Reform Act 2024 will bring mandatory transparency—

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  13. ParliamentDavid Reed

    Property Service Charges

    I have one minute left and I will make my final points. The Act aimed to bring mandatory transparency, through standardised billing, greater rights to challenge charges, and easier routes to taking over management, but those reforms are not yet implemented. Why is that? I hope that the Minister, in his closing remarks, will set out a course for when those measures will be implemented, and will say what new legislation will be brought in to ensure that people are protected. I finish on a point on which I think we all agree: residents who are on these schemes do not need more consultations; they need action, and this Parliament must deliver.

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  14. ParliamentDavid Mundell

    Investment in Businesses

    A major lodge development at Irvine House near Canonbie, and the potential for a Center Parcs in the borders, show that there is still great potential for jobs in the tourism industry my constituency. Will the Secretary of State encourage the Chancellor to follow the advice of the Scottish Hospitality Group and give hospitality a fair deal in the Budget, rather than clobbering it as she did last time?

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  15. ParliamentDavid Mundell

    Sudan: Protection of Civilians

    I thank you for granting this urgent question, Mr Speaker, as you have done with a number of others, but this important issue should not have to come to the Floor of the House by way of an urgent question. The Government must be more proactive. The Minister for Africa gave a commitment to the International Development Committee that they would be more proactive during this Parliament, and I hope that that commitment will be honoured. Will the Minister set out more fully what discussions there have been with the UAE? Not only are there concerns about the use of weapons, but it is clear that the UAE has significant influence over the RSF and is a key player. It is stated by the Government that we have influence with the UAE, so are we using that influence to ensure that it uses its influence with the RSF?

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  16. ParliamentDavid Mundell

    Business of the House

    Kelloholm is a former mining community in my constituency. Like the rest of Upper Nithsdale, it has few amenities, so it came as a complete shock to local people when, out of the blue, SNP-led Dumfries and Galloway council suggested closing the Hillview leisure centre as a possible budget-saving measure, despite the centre’s pivotal role in the community for youth work, employment support programmes, children’s parties and other social events, as well as gym, sport and recreation uses. Will the Leader of the House join me in calling on the council to abandon this knee-jerk and ill-considered proposal, which would do real damage in and around Kelloholm, and will he spend more time calling out the Scottish Government’s deliberate policy of starving local authorities of the resources they need?

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  17. ParliamentDame Harriett Baldwin

    Investment in Businesses

    I welcome the all-new ministerial team to their positions. They have inherited a crisis, because business confidence has plunged to a record low since the Chancellor’s Halloween budget a year ago today. Will the Business Secretary assure this House that he will find and demonstrate his backbone, stand up to the Chancellor, and encourage business investment by following Conservative plans to reduce welfare spending so that we can scrap the family business tax and cut small business rates?

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  18. ParliamentDame Harriett Baldwin

    Small and Medium-sized Businesses

    I associate myself with the remarks about British Beauty Week. In addition to beauty businesses, one of the key ingredients for growth on our high streets is having a post office in the mix. As Post Office Minister, he has inherited a network of 11,500 post offices across the country and a consultation on the size of that network. Can he echo what his predecessor said at the Dispatch Box, and commit to supporting our high streets by maintaining the scale of the post office network throughout this Parliament?

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  19. ParliamentBen Obese-Jecty

    Land Value Capture

    The cut to London’s affordable housing target has a direct knock-on effect on constituencies like mine in Huntingdon, where we are being forced to deliver thousands of new homes, creating an urban sprawl that could destroy the individual character and charm of many of our villages. In a Sky News interview last week, Sadiq Khan was challenged on how he has been reporting the figures for years by counting housing starts that have had no building work done and no spades in the ground, with no increases to London’s affordable housing stock. At least 2,000 houses that he counted as started in 2023 before his re-election have still not been started today. In Ealing alone, almost 1,000 homes that he claimed have been started simply have not. Will the Committee investigate and scrutinise the manipulation of housing stock figures by the Mayor of London?

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  20. ParliamentBen Obese-Jecty

    Topical Questions

    T1. If he will make a statement on his departmental responsibilities.

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  21. ParliamentBen Obese-Jecty

    Topical Questions

    On Tuesday, the Ministry of Defence announced the launch of Project Fairfax, which will see a defence technology cluster established on surplus MOD land at RAF Wyton in Huntingdon. This is a hugely exciting opportunity for both Huntingdon and the MOD, as we seek to create a defence ecosystem in sites we have identified across Huntingdonshire. With a decision yet to be made about identifying investible sites, and regarding the £600 million fund available through the strategic sites accelerator programme, will the Secretary of State meet me and the chief executive of my local council to discuss the inclusion of potential defence sites in Huntingdon?

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  22. ParliamentAndrew Rosindell

    Business of the House

    As chairman of the parliamentary support group for the victims of Libyan-sponsored IRA terrorism, I welcome the publication of the long overdue Shawcross report. Will the Leader of the House accept that the Government must now make a serious attempt to heal the wounds and deliver justice for the victims and their families, who have waited so long for compensation? With that in mind, will he find time for a debate on the report’s recommendations, the handling of the issue by successive Governments and the prospect of delivering specific compensation for the victims of the atrocities of the Docklands, the Baltic Exchange and Harrods, among other tragic attacks, as called for by the families and specifically the Docklands Victims Association led by Jonathan Ganesh?

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  23. ParliamentAndrew Griffith

    Topical Questions

    I welcome the team to their significant roles for the United Kingdom. This week, the other place voted for five reasonable amendments to the Employment Rights Bill, representing a meaningful compromise with cross-party support to mitigate some of the worst of the damage caused by the Bill. As the Office for Budget Responsibility now scores the impact of that legislation, this is one of the last chances to avoid the costs, taxes and spending cuts that will result from it. Will the Secretary of State now put country before party, do the right thing by British business and accept those compromise amendments?

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  24. ParliamentAndrew Griffith

    Topical Questions

    I will save time, Mr Speaker, by not mentioning the 13 leading business organisations that have all called for certainty now—not well-intentioned future consultations on implementation, but certainty now, because jobs and the economy are bleeding out. The Secretary of State will know that even the Resolution Foundation—that wonderful finishing school for aspiring Labour Ministers—said this week that some of the measures in the Bill should not be proceeded with.

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  25. ParliamentAlison Griffiths

    Business of the House

    At Prime Minister’s questions yesterday, the Prime Minister offered scant reassurance to business owners trying to create jobs and growth in the face of higher taxes, costs and regulations. The Institute of Directors warns that: “Business confidence has plumbed new depths”. Ahead of Small Business Saturday on 6 December, will the Leader of the House provide Government time for a debate to celebrate and recognise the business owners working so hard and making great personal sacrifices to support jobs and services in our communities?

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  26. ParliamentWendy Morton

    Asylum Seekers: MOD Housing

    My constituents are increasingly concerned about the rising number of houses in multiple occupation. Can the Minister assure me that any overflow from these bases will not lead to an increased reliance on HMOs in our towns and cities, including Walsall, and may I ask what further powers the Government will give councils to protect the private rented sector from being squeezed out as a result of this?

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  27. ParliamentSteve Barclay

    Sentencing Bill

    The Bill illustrates a wider theme that we see across a number of debates in the House, which is the gap between the Government’s words and how they vote. Indeed, that is illustrated by a number of the new clauses that colleagues on the Opposition Benches have already spoken to. New clause 14, tabled by my hon. Friend the Member for Mid Leicestershire (Mr Bedford), highlights the inconsistency within the Labour manifesto that sets out a commitment to give 16 and 17-year-olds the right to vote, but then says that even if they commit an offence so serious that it warrants a custodial sentence of four or more years, that person is too young to be named. I asked the House of Commons Library to clarify that. A custodial sentence of four or more years is not given out lightly by the courts, particularly not to those of that age, and it said that this would involve serious sexual offences, murder, or armed robbery. We see tweets from Members of Parliament when a boy or girl is stabbed to death, but Labour Members are not willing to vote to name those who commit such offences. It is wrong to deny victims transparency when such serious offences have taken place, but it is bizarre to do so when also saying that those same people are old enough to vote at that age. Such inconsistency is not limited to new clause 14, so let me take a second example of new clause 18, which was tabled by my hon. Friend the Member for Bexhill and Battle (Dr Mullan). Many people now look at the Labour manifesto and say, “Well, what it said on energy bills isn’t what they have done; what it said on council tax isn’t what they have done; and what it said to farmers is certainly not what they have done.” With the Budget coming soon, I think that we will shortly see that what Labour said on tax is not what this Government are about to do. And yet the front page of that Labour manifesto had a single word on it: “Change.” I do not think that most voters realised that what Labour meant was change from the manifesto itself, as opposed to change in terms of policy—

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  28. ParliamentSteve Barclay

    Sentencing Bill

    Indeed, change for the worse. It is bizarre that when serious offences take place, quite often it is the judiciary who get the blame. Perhaps I have an unfashionable view in that I think that we have a very high-quality judiciary, but it is easy for people to look at sentences and then quickly leap to criticise the judiciary, saying that it is their fault that sentencing is wrong. Indeed, there are such cases—the shadow Justice Secretary, my right hon. Friend the Member for Newark (Robert Jenrick), has highlighted some concerning conflicts of interest of some within the judiciary—but it is far more common that issues arise because the judiciary are operating within the tramlines imposed by sentencing guidelines. I remember a constituency case where someone was killed by dangerous driving. It highlighted the fact that while this House had increased the sentencing for such crimes, the sentencing guidelines set so many obstacles to getting a maximum sentence that, in practice, hardly anyone ever reached the tariff that the House had intended. Key decisions on issues of public policy should not be outsourced to quangos, meaning—as my constituency neighbour, my right hon. Friend the Member for South Holland and The Deepings (Sir John Hayes), highlighted—the public often do not have any idea who is making the decisions. I come back to the Labour manifesto. It promised change, but when it comes to the sentencing guidelines, it will be the same people, applying the same approach; that is anything but change. If the manifesto is to deliver change, it is right that democratic oversight is imposed and that this House and Ministers take more responsibility.

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  29. ParliamentSteve Barclay

    Sentencing Bill

    Indeed. The new clauses under debate highlight a wider principle that is driving much of the public frustration with the democratic process: the sense of people voting and then seeing decisions that they do not feel were on the ballot paper. My right hon. Friend the Member for South Holland and The Deepings was right that this is not just an issue with this Government; the Government in which I served were guilty of this. Too many decisions were outsourced to quangos. There are lessons to be learned from that, as today’s debate has highlighted well. Let me turn to two new clauses on which the House will divide. New clause 19 applies to something that unites the House: the horror at the murder of a police officer or prison officer. This is particularly pertinent to me, as I have the privilege of representing a constituency that contains a maximum security prison, HMP Whitemoor, where the safety of prison officers is paramount. The new clause is also important because we all benefit from the safeguarding provided by the police—in my case, Cambridgeshire police. What message do Ministers think is being sent not just to police and prison officers, but to their families, if they decide to vote against new clause 19? It is not enough just to tweet after events to say how sorry they are. The Government have an opportunity to vote to do something, and we will see in the Lobby how they vote. Finally, I turn new clause 20. I do not think that I was alone in being deeply moved by the remarks of my hon. Friend the Member for Maidstone and Malling (Helen Grant). It is most effective when Members across the House, regardless of which party they are in, speak from their own deep professional expertise about issues that transcend party politics. Anyone hearing about Tony’s case cannot help but feel revulsion, horror and shame about the offence committed, and my hon. Friend spoke with such passion to highlight it. As a former Minister who has sat where the Minister now sits, let me say that I hope he reflects on the case put forward in new clause 20. I do not believe that any Members want to see loopholes exploited—to see people move around the country to evade accountability and the tracking of any future offences. When someone speaks with the sort of professional expertise with which my hon. Friend the Member for Maidstone and Malling spoke, to raise very practical concerns, it is important that Ministers take those concerns on board. The concern raised through new clause 20 is shared across the House. There is a defective element in this Bill, and Members have an opportunity to address it. The expectation is that there will be a vote on new clause 20. It is not about people’s words, but how they vote, that will determine the response. I hope that Members across the House will respond to new clause 20, bearing in mind the case of Tony, which was highlighted to the House, and that they will do the right thing.

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  30. ParliamentSir Roger Gale

    International Baccalaureate: Funding in State Schools

    Before we start, it has been drawn to my attention that a photograph is to be taken in the Chamber at 11 o’clock. We have no power to suspend this sitting to accommodate that, but I will try to get a message to the Speaker’s Office to say that there are Members here who would like to be in the Chamber for that and that if it could be held off until about 11.5 am, that should give Members here time to get across. Those of us taking part in the second debate will not have that luxury.

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  31. ParliamentSir Roger Gale

    International Baccalaureate: Funding in State Schools

    Order. Let us get the ground rules right: this is an intervention, not a speech.

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  32. ParliamentSir Roger Gale

    International Baccalaureate: Funding in State Schools

    Order. This is an intervention, not a speech. The Chair deprecates scripted interventions; they are supposed to be spontaneous.

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  33. ParliamentSir Roger Gale

    International Baccalaureate: Funding in State Schools

    Order. Before we proceed, I should say that eight hon. Members have indicated that they wish to speak. I propose to call the Front Benchers at 10.30 am. We have tried to get a message to the Speaker’s Office and I have not had a response, so we do not know what the score is. If the Front Benchers curtail their remarks, I can suspend the sitting slightly early. Those who are participating in the following business will have to remain here, but other Members should be able to make it to the Chamber by 11 o’clock. I am minded to put a time limit on speeches, but for the moment, if we can work on a self-denying ordinance of five minutes, we should be able to get everybody in. I call Josh Dean.

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  34. ParliamentSir Roger Gale

    International Baccalaureate: Funding in State Schools

    I call the Opposition Front-Bench spokesperson, Saqib Bhatti.

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  35. ParliamentSir Julian Smith

    Civil Justice Council Review of Litigation Funding

    I beg to move, That this House has considered the Civil Justice Council’s review of litigation funding. It is a pleasure to serve under your chairmanship, Ms Harris. I refer the House to my entry in the Register of Members’ Financial Interests—until the summer, I was voluntary chair of the Centre for Effective Dispute Resolution. I pay tribute to Mr Justice Simon Picken and Dr John Sorabji, who co-chaired the review, along with each member of the working party and the Civil Justice Council secretariat. Third-party litigation funding plays an important role, enabling citizens in the UK and businesses to bring claims against larger and often better-resourced firms and organisations. Litigation funding involves an investment company that is not involved in a particular legal case providing all or a portion of the legal costs of a claim, in return for any damages awarded. The typical area in which litigation funding operates is in high-value commercial, arbitration or group litigation claims, particularly in the Competition Appeal Tribunal—a key route for competition-based group claimants to attempt to seek redress and, alongside the Competition and Markets Authority, one of two pillars of the UK’s globally recognised competition regime. Litigation funding provided financial resource for cases to be taken in the initial stages of the Post Office Horizon scandal, Bates v. Post Office, as well as providing resources in cases taken up against car manufacturers, such as one over false diesel emissions, cases focused on data breaches, those involving car financing and, most recently, a high-profile case last week involving Apple and charges for app use on the App Store.

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  36. ParliamentSir Julian Smith

    Civil Justice Council Review of Litigation Funding

    I agree with the hon. Member; the Vodafone case, which involved franchisees across the UK, is another example of how litigation funding can help. The Supreme Court’s judgment in the PACCAR case in July 2023, which involved a claim against truck manufacturers for anti-competitive behaviour, rendered many third-party funding agreements unenforceable by bringing them in scope of another type of legal funding agreement, damage-based agreements. The impact of the judgment on the litigation funding market has been two years of instability and a lack of clarity about its contractual operating terms. The last Government sought to remedy the issue by introducing the Litigation Funding Agreements (Enforceability) Bill, which had reached Second Reading in the House of Lords immediately prior to the election.

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  37. ParliamentSir Julian Smith

    Civil Justice Council Review of Litigation Funding

    I agree with the hon. Member; I will come to some protections that I think he might be attracted by. The last election stopped the Litigation Funding Agreements (Enforceability) Bill, which was going to overturn the PACCAR judgment, but on 1 August 2024, Lord Ponsonby said in a written answer to a parliamentary question that the new Labour Government “recognises the critical role third-party litigation funding plays in ensuring access to justice. Following the PACCAR judgment, concerns have been raised about the need for greater regulation of Litigation Funding Agreements…The Government is keen to ensure access to justice in large-scale and expensive cases, whilst also setting up adequate safeguards to protect claimants from unfair terms. The Civil Justice Council is considering these questions and others in its review of third-party litigation funding, and hopes to report in summer 2025. The Government will take a more comprehensive view of any legislation to address issues in the round once that review is concluded.” The Civil Justice Council review concluded in June this year. The litigation funding industry, businesses and the legal sector await the Government’s response. The current lack of response to the report is causing significant uncertainty to the sector and additional costs for those fighting for businesses and consumers. Although the Government are inevitably busy on many fronts, action on this is needed now and will be positive for the UK economy. I will return to the recommendations of the CJC report shortly, but I just want to emphasise two broader points. First, the legal sector in the UK was worth about £52 billion in 2024, up by about 10% on the previous year. Litigation funding is estimated to have quadrupled since 2013, with more than £1 billion capital estimated as currently available to litigation. In 2023, PwC UK predicted growth at a compound annual growth rate of more than 8% over five years. On a global basis, the global litigation funding market was approximately $20 billion in 2025 and is expected to be closer to $49 billion in 2035. Legal services with litigation funding are an important component and a vital export opportunity as the UK continues to be the leading centre for global disputes of all kinds and can stand to win significant revenues from deals such as the ones the Government have done with India, the US and, this week, Turkey. Services of all shapes and sizes, but particularly legal services, are a key UK economic sector and we should bear that in mind during this debate. The second broader point is that litigation finance significantly assists with access to justice, as we have heard, discouraging large companies from anti-competitive or anti-consumer behaviour. Litigation finance funds cases of all shapes and sizes, but particularly class actions where there is a potential case against large and often global firms who unknowingly—or often knowingly —have breached the UK’s competition law. UK competition law was crafted over many years to ensure an efficient market protecting consumers and fostering fair competition between companies, encouraging better and more effective growth. Both issues matter to UK citizens as they directly impact incomes and financial costs for families across the United Kingdom. We need one of our most successful service sectors to operate with a full focus on expansion and growth. That means more jobs, which mean more tax revenue. We need UK consumers to have routes to take on the huge might of the global companies from which they buy products and services, but that have such large market share and resources that they can more or less do what they want. The Competition Appeal Tribunal was extended in 2015 by the coalition Government to include opt-out collective actions to enhance competition, ensure prices stay fair and that businesses do not abuse their position and keep innovating. As Ministers said at the time: “Competition is one of the great drivers of growth”, For many consumers, who are often on low incomes, cases in the CAT, funded by third-party litigation funding, is the only route to challenge and hold large companies to account. Neither point is intended to imply that everything is perfect, but the PACCAR judgment and the need for legislation to remediate the situation, the CJC report that is the topic of this debate and a recent call for evidence on the opt-out regime at the Competition Appeal Tribunal, run by the Department for Business and Trade, all risk slowing down an important growth market for the UK if Government responses are not executed quickly, proportionately and with vision. Improvements can clearly be made to the oversight of the litigation funding sector, and also in the operation of the Competition Appeal Tribunal. Having said that, despite heavy lobbying for change, there is no evidence that the UK’s ranking as a destination for foreign direct investment has been affected by our vibrant competition regime. Moreover, private enforcement of the regime through the CAT seems to be good value for money, with just over £5 million in costs for the Competition Appeal Tribunal and £118 million for the Competition and Markets Authority. The first recommendation of the CJC report is: “Legislation should be introduced to make clear that litigation funding is…a distinct form of funding”. It also recommends that the effect of the PACCAR Supreme Court judgment should be overturned. Although the market has, to an extent, adapted to that judgment in June 2023, the bulk of submissions to the review and elsewhere highlighted the impact on the provision of funding. Less money has been delivered to claimants, and there has been a reduction in the number of CAT cases. The report’s main ask is to get legislation in place and to overturn PACCAR. I would be interested to hear the Minister’s response on when that will happen, and a clear timeline. It would be good to get it done in this Session of Parliament. I would also be interested in the Minister’s comments on the change being retrospective, which seems fraught with complications. On the previous Bill’s Second Reading debate in the House of Lords, Members raised concerns. Other flagship recommendations in the CJC review relate to the move from self-regulation by the Association of Litigation Funders not to the Financial Conduct Authority, which some proposed, but to light-touch regulation put in place by the Lord Chancellor. The proposals are for differential regulations for the type of claimant: very little for commercial disputes, and lighter touch for consumer, representative or class actions. The review proposes a minimum baseline set of regulatory requirements, focusing on case-specific capital adequacy, codification that litigation funders should not control the litigation process, conflicts of interest and money laundering. Additional light-touch regulation is proposed for groups and consumer claimants, to include a consumer duty, early court approval of the funding agreement and a court assessment of whether the lender’s return is reasonable. Further measures include the provision of independent legal advice for consumers before entering into funding agreements, and a prohibition on litigation funders controlling proceedings or settlement proceedings. In reflecting on the proposals, the Government must be alive to the risk of fettering an innovative and successful industry that enables consumers to mount challenges against Goliath-sized firms. I encourage them to take a pragmatic view, driven by the market. There may be merit in applying some elements of the CJC report through regulations, but it is worth considering strengthening the current self-regulation regime, including by getting all players operating in the UK market to join the Association of Litigation Funders—it is a self-regulation body has a code of practice, but not all litigation funders are in it. I call on the industry to get everybody operating in litigation funding in the UK on board in the association. There are proposals to use redress schemes and other forms of non-court-based resolution more regularly. I believe strongly in alternative routes to settlement, so I agree strongly with those proposals. Much more can be done to offer settlement options, including encouraging settlement rather than litigation, offering mandatory mediation in parts of the CAT process, and making mediation a clause within the process for litigation funding agreements. Avoiding costly disputes is generally a good thing. Focusing on settlement, not litigation, in the Government response would help in that regard. Mandatory mediation would also help to ensure that disputes between litigation funders and law firms are handled more clearly. Although I acknowledge that improvements need to be made, I hope that the Minister and the Government will reflect on the potential motivations of some of those who look to impose heavy changes on opt-out. Opt-out, and its reliance on litigation finance, offers consumers a powerful opportunity for redress. The Government opt-out review, introduced earlier this year, references perceived burdens of the current regime on business, but there seems to be little evidence of our competition law putting off inward investment. The UK is seen to be a great place to invest and the same arguments that helped to build the UK competition rules stand today. If there is no fear of being brought to book, some companies will continue to rip off and abuse consumers. If they are abiding by UK competition law, they have nothing to fear. While acknowledging that improvements can be made, we should be sceptical of those who seek to fetter consumer rights and should instead make the case for an expansion of those rights in the interests of our citizens and UK economic growth. A strong defence of consumer rights is the best way for the UK to continue to thrive, for the UK economy to grow, and for inward investors and domestic businesses to stay lean and competitive. Whatever the Minister’s response today, I hope that the Government will soon introduce a Bill to address PACCAR, the primary recommendation of the CJC report, and will seek to look at practical ways to implement elements of that report while avoiding adding burdens, cost and micromanagement on to an innovative and important sector.

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  38. ParliamentSir John Whittingdale

    International Baccalaureate: Funding in State Schools

    I congratulate the hon. Member for Didcot and Wantage (Olly Glover) on obtaining this important debate. A number of powerful points have already been made, but I want to put on record the concerns that have been expressed to me by constituents who have children at, or who work at, the Anglo European School in Ingatestone in Essex. Like the schools that have already been mentioned, the Anglo European has an outstanding reputation locally and attracts children from a wide area, not just the immediate vicinity. One reason for that is that the Anglo European is the only school locally that offers the international baccalaureate. The IB course is extremely rigorous, but it provides a breadth of curriculum that is not available in other courses. Many parents choose for their children to undertake it because the result, as has been mentioned, is a higher chance of gaining admission to top universities or employment. The IB is rigorous, requiring a lot of extra teaching time as a result, and it is in recognition of that that the large programme uplift was instituted. In the case of the Anglo European, the IB requires something like 1,500 hours of teaching time over two years, compared with 1,280 for the standard programme. The value of the uplift to the Anglo European is something like £55,000, and if it is withdrawn, the school will probably be unable to continue to offer the IB. Like other schools that have been mentioned, the Anglo European draws pupils from a range of different backgrounds and contributes to social mobility. If that course is not available there, it will be available only in the independent schools. Of course, this policy is being introduced at the same time the Government are pursuing their vendetta against independent schools by putting VAT on school fees, which will result in them being further out of reach for the vast majority of people. The result of all this is that only the very richest are likely to be able to attend schools that offer the international baccalaureate. As has been said, the policy was also introduced without any warning. One of the assistant headteachers at the school said: “The Department’s letter arrived with no prior warning or consultation, right in the middle of sixth-form information events for next year. This results in…uncertainty for school leaders and governors about whether the full IB Diploma will be viable for this school next year.” You have made it clear, Sir Roger, that you do not want a lot of these points repeated, so I will not speak any longer, other than to quote what another of the teachers said to me in a letter: “Without a resolution by the end of this term, the school will be forced to consider alternative curriculum pathways, which would close off the full IB Diploma course from future generations of state school pupils, directly contradicting the government’s promise of a ‘broad curriculum.’” Like other Members, I hope the Minister will think again.

    Hansard source
  39. ParliamentSir John Whittingdale

    UK-Türkiye Typhoon Export Deal

    The Minister will be aware that Türkiye was removed from the F-35 programme following its acquisition of the S-400 Russian air defence system amid concerns that it could compromise the F-35 technology. Can he say whether Türkiye has agreed to return the S-400, and if not, is he confident that our technology will not be similarly at risk?

    Hansard source
  40. ParliamentSir John Hayes

    Sentencing Bill

    As we return to consideration of this dreadful Bill, we debate amendments and new clauses that are designed to mitigate its worst effects, in particular new clauses 43, 21, 18, 19 and 20, which I have signed, and new clause 1.

    Hansard source